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  4. 10% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container
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10% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container
Item Number: 2B0164X
GTIN:  0303380023042
GTIN-CS:  50303380023047
10% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container. NDC: 0338-0023-04
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 30.0 °C
Volume 1000.0 ml
Latex Free Yes
Shelf Life from Manufacture 18 months
Container Type VIAFLEX
Containes Preservative No
Dextrose Concentration 10%
Fill Range Volume 1030 - 1070
Osmolarity Molperl 505
pH 4
Rx Only Yes
Specific Gravity 1.03
Storage Recommendations Store at room temperature (25°C/77°F), brief exposure up to 40°C/104°F does not adversely affect the product.
Total Calories 340 Kcal/L

Carton

Units per Case 14.0
Carton Weight 36.0 lb.
Carton Length 15.8 in.
Carton Width 9.7 in.
Carton Height 9.6 in.
Carton Volume 0.85 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
J3490 UNCLASSIFIED DRUGS
Medication Delivery Reimbursement Hotline 888-338-0001

Information Source : CMS

Disclaimer:The coverage, coding, and payment information included in this guide has been compiled from various resources for informational use as a tool to assist providers with reimbursement issues. This information is current as of 3/31/2008; however this information is subject to change and should not be construed as legal advice. Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect services rendered to individual patients. Baxter Healthcare Corporation does not guarantee success in obtaining insurance payments. Providers are encouraged to contact third-party payors for specific information on their coverage, coding, and payment policies.
Ordering Information
Item Number 2B0164X
Sales Unit case
GTIN 0303380023042
GTIN-CS 50303380023047
National Drug Code 00338002304

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